Patient Participation in Patient Safety and Its Relationships with Nurses' Patient-Centered Care Competency, Teamwork, and Safety Climate

Abstract

This study's aim was to examine degrees of patient participation in patient safety activities in hospitals and to investigate their relationships with nurses' patient-centered care competency (PCC), teamwork, and safety climate. Methods: A cross-sectional study design was used. Data were collected with 479 nurses from two general hospitals in Seoul, Korea, using a questionnaire designed to collect data on patient participation in patient safety activities, PCC, teamwork perceptions, and safety climate. The response rate was 74.1% (N ¼ 355). Data were analyzed using descriptive statistics and multiple logistic regression analysis. Results: The mean score for patient participation was 2.76 ± 0.46 of 4.0. The mean scores for PCC, teamwork, and safety climate were 3.61 ± 0.46, 3.64 ± 0.41, and 3.35 ± 0.57 of 5.0, respectively. Nurses who experienced high patient participation in patient safety activities (! 3.0) had higher scores for PCC, teamwork, and safety climate. Multiple logistic regression analysis revealed that PCC (OR ¼ 2.31, 95% CI ¼ 1.14e4.70) and safety climate (OR ¼ 2.51, 95% CI ¼ 1.09e5.78) scores were the significant factors associated with patient participation. Conclusion: The degree of patient participation in patient safety activities was not high. Nurses' PCC, teamwork, and safety climate were positively related with patient participation. In particular, the findings indicate that enhancing nurses' competency for patient-centered care and creating a strong safety climate are important to promote patient participation for safer health care.

The Frontline Nurse’s Experience of Nursing Outlier Patients

“…This paper further highlights the importance of promoting nurses’ perusal of continuing competencies, as well as initiating nursing leadership in the health policy domain [ 75 ]. Future directions for healthcare reform should place emphasis on building nurses’ competency and expertise for patient-centered care, rather than disrupting the nurses’ specialty constructs [ 76 ]. Implementation of expansion and enhancement of the nurses’ specialty constructs through mandatory education, competencies and skill demonstrations are recommended to minimize the effects of work environment on patient and nurse outcomes [ 77 , 78 , 79 , 80 ].…”

Psychometric properties of the Chinese version of the TeamSTEPPS teamwork perceptions questionnaire to measure teamwork perceptions of Chinese residents: a cross-sectional study

“…Effective teamwork in healthcare not only augments patient's satisfaction but also decreases burnout among the health professionals. [1][2][3][4] The Agency for Healthcare Research and Quality (AHRQ), the Joint Commission and other institutions ranked teamwork as a dominant factor for enhancing the healthcare quality. 5 6 Furthermore, teamwork has been classified as an important competency to help optimise the healthcare services and poor teamwork could increase the medical errors and reduce patient safety.…”

Patient Participation in Nursing Care: Views From Ghanaian Nurses, Nursing Students, and Patients

“…Smith & Liles, 2007). Many reports have shown that patient participation, patient safety, patients’ rights, patient-centeredness, and patient empowerment are intricately linked (Castro, Van Regenmortel, Vanhaecht, Sermeus, & Van Hecke, 2016; Hwang, Kim, & Chin, 2019; WHO, 2013). It is therefore essential to encourage patient everywhere to be knowledgeable and vigilant during treatment and care (WHO, 2013).…”